Paul Derek Moore in Lebanon - Family Medicine
Paul Derek Moore - NPI 1417945700
Paul Derek Moore is a Family Medicine in Lebanon, Pennsylvania. Paul Derek Moore practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Paul Derek Moore is 1417945700. The last update date is 2016-09-23.
Paul Derek Moore's current location address is 815 Cumberland St, Lebanon, Pennsylvania. You can contact this provider via phone number 7172777400 and fax number 7172777402. The mailing address for Paul Derek Moore is 815 Cumberland St, Lebanon, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Derek Moore |
|---|---|
| Address | 815 Cumberland St, Lebanon, Pennsylvania |
| Phone Number | 7172777400 |
| Fax Number | 7172777402 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1417945700 |
|---|---|
| Provider Enumeration Date | 2005-10-11 |
| Last Updated Date | 2016-09-23 |
Provider Mailing Address Detail
| Address | 815 Cumberland St |
|---|---|
| City | Lebanon |
| State | Pennsylvania (PA) |
| Post Code | 170425266 |
| Phone Number | 7172777400 |
| Fax Number | 7172777402 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 40759 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9932861 | CO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Paul Derek Moore by the Centers for Medicare & Medicaid Services?
The Paul Derek Moore has been assigned the NPI (National Provider Identifier) 1417945700 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Paul Derek Moore is physically located?
The Paul Derek Moore is physically situated at the following address: 815 Cumberland St, Lebanon, PA, 170425266.
What is the Paul Derek Moore's specialty and taxonomy code?
The Paul Derek Moore's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did Paul Derek Moore receive its 1417945700 assignment from the Centers for Medicare & Medicaid Services?
The Paul Derek Moore was assigned its 1417945700 on 2005-10-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Paul Derek Moore last refreshed?
The information related to the Paul Derek Moore, including its address, specialty, and other relevant details, was last updated on 2016-09-23.